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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/A grievance is a formal complaint about us, our providers or the care you get. You or an authorized representative may file a grievance at any time. Call Member Services...
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How and When to File an Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/file-appeal/To learn more about appeals and how to file an appeal for your plan, choose your plan from the drop down list above, then click GO. An appeal is how...
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Medical Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/medical-policies/...to our Ohio Medicaid plan. These medical policies apply to our Georgia Medicaid plans. These medical policies apply to our Indiana Medicaid plans. These medical polices apply to our Ohio...
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Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/...apply to the MyCare Ohio (Medicare-Medicaid) plan. These reimbursement policies apply to our Georgia Medicaid plans. These reimbursement policies apply to our Indiana Medicaid plans. These reimbursement policies apply to...
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MUSCULOSKELETAL AND CARDIAC SURGICAL PROCEDURES
https://www.caresource.com/providers/tools-resources/health-partner-policies/surgical-procedures/...Authorization & Provider Portal Portal providers and/or their delegates should follow Ohio Department of Medicaid’s (ODM) guidelines to submit prior authorization requests and supporting documentation through the Ohio Medicaid PNM...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippi-chip/rights-and-responsibilities/...Division of Medicaid (DOM) or Centers for Medicare and Medicaid Services (CMS). The plan’s non-discrimination policies and the individuals responsible for overseeing those policies, as well as responding to accessibility...
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Rights and Responsibilities
https://www.caresource.com/plans/mississippican/rights-and-responsibilities/...Division of Medicaid (DOM) or Centers for Medicare and Medicaid Services (CMS). The plan’s non-discrimination policies and the individuals responsible for overseeing those policies, as well as responding to accessibility...
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Next Generation MyCare
https://www.caresource.com/plans/mycare-snp/...$715 per year** for making healthy decisions. Explore Your Rewards $0 Medicare and Medicaid Covered Drugs $0 COPAY FOR ALL MEDICARE AND MEDICAID COVERAGE DRUGS With CareSource MyCare Ohio, every...
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HAP CARESOURCE™ MI COORDINATED HEALTH (HMO D-SNP)
https://www.caresource.com/plans/mich/...all the extra benefits below. Highlights All standard Medicare and Medicaid benefits No copays for Medicare or Medicaid services No copays for Medicaid-covered drugs or Medicare Part D covered drugs...
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Health and Social Partnerships
https://www.caresource.com/providers/education/health-equity/Our Commitment We are committed to improving our beneficiaries’ health by removing barriers to care and working with our community partners and providers to drive meaningful change. Provider Responsibilities Providers...
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